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Terry556  
#1 Posted : 02 February 2012 15:12:30(UTC)
Rank: Super forum user
Terry556

I had an employee who has injured his 3rd & 4th finger on his right hand, I offered him light duties of sitting down all day in the goods inward to receive the paperwork, and stamp, and then put in the in tray, so he would not loose any money, but NO, he got a doctors note, so he is on the sick for 14 days, so he will loose money, what happened to the fit to work note, so now this will be a Reportable under RIDDOR, more than 3 days off work
TonyMurphy  
#2 Posted : 02 February 2012 15:21:41(UTC)
Rank: Forum user
TonyMurphy

Breaks your heart doesnt it? This is the type of issue that gets us a bad name. I am not sure if you could have instructed him to do light duties but you could invite him in for a back to work discussion on what he can and can not do.
freelance safety  
#3 Posted : 02 February 2012 15:23:16(UTC)
Rank: Super forum user
freelance safety

Terry556, If any employee goes to see a doctor, that is their right. If that qualified doctor then decides that a person is not fit for work, then light duties clearly is not an option. Clearly this doctor has made a professional judgement that this person is not fit to undertaken his work. NB. Money is not always a motivator, especially when it comes to a person’s health. Not fully clear on the point you are trying to raise, unless there are other circumstances that have not been highlighted?
chambers  
#4 Posted : 02 February 2012 15:33:42(UTC)
Rank: Forum user
chambers

It sounds like you just don’t want to report this issue (possible RIDDOR). I’d agree with Freelance, this person is a PERSON who has every right to go and get proper professional advice (Doctor). In this case the advice was not to go to work??????
A Kurdziel  
#5 Posted : 02 February 2012 15:37:28(UTC)
Rank: Super forum user
A Kurdziel

Ah! This is a misunderstanding of the 3 day injury rule. The actual wording of Reg 3(2) of RIDDOR is” is incapacitated for work [for more than 3 days] of a kind which he might reasonably be expected to do ... under his contract of employment.” The Guidance (Para 58) makes this clear mentioning ‘or unable to do the full range of their normal duties”
freelance safety  
#6 Posted : 02 February 2012 15:39:05(UTC)
Rank: Super forum user
freelance safety

Good Point A Kurdziel!
stevie40  
#7 Posted : 02 February 2012 15:59:05(UTC)
Rank: Super forum user
stevie40

Report it to your insurers (as you would any RIDDOR incident anyway) and see if they use Rehabilitation specialists. They will work between IP, GP, employer to establish what duties can be performed and whether any physio etc will hasten a return to work. It is a win win for everyone, employer gets employee back sooner, insurer reduces or perhaps even prevents a civil claim and employer gets to feel valued, and not forgotten about. Plus - if any claim is made in the future and the rehab services were refused by the IP, it can be used against them in negotiations / court. PS: Not all insurers offer rehab services but they have proven effective in the past and more insurers are starting to see the light.
Judex  
#8 Posted : 02 February 2012 16:00:10(UTC)
Rank: Forum user
Judex

I am in the opinion that it is not more a method to have good safety performance indicators in particular the LTI and severity than legal misunderstand.
freelance safety  
#9 Posted : 02 February 2012 16:11:33(UTC)
Rank: Super forum user
freelance safety

Stevie40, you make some reasonable observations. However, we must all note though that both the IP and GP don’t have to provide any information to any third party, should they not wish to. So any insurance company can only be involved if agreed with the said IP and GP. All that the IP has to provide is verification from a registered doctor that they are not fit for work. They only have to provide this to the employer. This in itself would have no impact on a civil litigation case, should one occur.
Murray18822  
#10 Posted : 02 February 2012 16:21:52(UTC)
Rank: Forum user
Murray18822

terry556 wrote:
I had an employee who has injured his 3rd & 4th finger on his right hand, I offered him light duties of sitting down all day in the goods inward to receive the paperwork, and stamp, and then put in the in tray, so he would not loose any money, but NO, he got a doctors note, so he is on the sick for 14 days, so he will loose money, what happened to the fit to work note, so now this will be a Reportable under RIDDOR, more than 3 days off work
Yes, What did happen to the 'Fit to Work' note? Sounds like a perfecctly reasonable approach you made and not one that has suggested the individual did not have a right to go to his doctor.
chambers  
#11 Posted : 02 February 2012 16:22:25(UTC)
Rank: Forum user
chambers

I work for a legal firm and you have to tread carefully when an employee has been signed off by a doctor. Other doctors, via insurance companies, never want to disagree with a patients own GP on the majority of cases. Also, we had a case of a civil claim in which the employer insisted the employee attend rehab services, the outcome was that on that occasion the court deemed that the employer was not doing this in the interest of the employee and as a result a higher pay-out was awarded to the employee in the claim.
Mr.Flibble  
#12 Posted : 02 February 2012 16:29:43(UTC)
Rank: Super forum user
Mr.Flibble

A lot of Doctors will sign you off for next to nothing these days! and most employees will take the opportunity if they can (even if they don't get paid!) just so they can put a claim in! We did an investigation into why our RIDDOR rate increased when accidents were going down. What we found was that people were taking time off for accidents which a few years they would of just carried on. Because there had been a lot going on in terms of pay deals etc people were and are a little bit disgruntled and will take any chance to get a little bit of money they can and get one over on the company.
freelance safety  
#13 Posted : 02 February 2012 16:30:53(UTC)
Rank: Super forum user
freelance safety

I believe that an inference was made about getting a doctors not, which resulted in the employer being informed that the employee would be off work. Chambers makes a interesting point? I’m still unclear on the original issue here, in terms of a specific point being made. I think Chambers may have hit the nail on the head in terms of a possible RIDDOR… lets hope I’m wrong!
chambers  
#14 Posted : 02 February 2012 16:39:30(UTC)
Rank: Forum user
chambers

Mr Fibble, how many doctors do you actually know? In relation to your post, let’s not assume that doctors do this (In the same way that health and safety professionals act in a certain manner??????????) That’s stereotyping I believe.
freelance safety  
#15 Posted : 02 February 2012 16:44:16(UTC)
Rank: Super forum user
freelance safety

I have many personal friends and several members of my family who are medical professionals. I believe that Doctors do follow very specific guidelines, which must follow what is best for the patient, not the employer. This is not done willy-nilly. From the initial post I think the offer of light duties was a good thing however, a qualified doctor has deemed otherwise and this must be respected for what it is.
bilbo  
#16 Posted : 02 February 2012 16:49:26(UTC)
Rank: Super forum user
bilbo

If the injured parry was unable to cary out the full range of his normal duties it would still have been reportable under RIDDOR anyway.
DP  
#17 Posted : 02 February 2012 16:52:56(UTC)
Rank: Super forum user
DP

Terry - I also feel the offer of light duties was reasonable too. This would have made it reportable as noted. The IP - are they off the tools? Sometimes folk of the shop floor are quite intimidated about working in an office environment - if they are not used to it - it can be uncomfortable for them. May have influenced things? I have seen it a couple of times. Just a thought. But we have to agree Dr says unfit then he's unfit.
pete48  
#18 Posted : 02 February 2012 17:07:48(UTC)
Rank: Super forum user
pete48

Can we confirm that the OP is saying that the employee was issued a med 3 with a ‘not fit for work’ notification? “A doctor will give a ‘maybe fit for work’ if they think that their patients health condition may allow them to work if they get support from their employer. If an employee is too ill to work the doctor will advise this just like the sick note.” Taken from the ACAS Guide. http://www.dwp.gov.uk/do...tnote-employer-guide.pdf If this is the case then the fact that the employer can offer modified work has likely not been discussed with the GP. If the discussion about modified work was held before the employee visited their GP then perhaps HR might like to speak with the employee. The questions that I see from this thread are nothing to do with RIDDOR reports. They are: What standards or guidance has been given to employees with regard to rehab possibilities? What expectation can employers reasonably have of their employees in respect of their honest discussion about the availability of rehab or amended work when discussing their health with their GP? and How many employers have reviewed their HR and H&S policies to reflect and support the new opportunities arising from the arrival of the ‘fit note’? There is now published evidence, in the recent DWP research report, that GP’s are far from clear or confident about their role in the management of fitness for work notes. Thus we should not be surprised that situations such as that described are occurring. See section 6 of this report. http://research.dwp.gov....rts2011-2012/rrep780.pdf There is also an interesting relevant article here: http://www.hrmagazine.co...cipd-simplyhealth-survey P48
freelance safety  
#19 Posted : 02 February 2012 17:18:03(UTC)
Rank: Super forum user
freelance safety

Thanks Pete, useful info, but the initial thread does highlight the RIDDOR possibilities. We are all aware of judgements made by doctors, they are human as are H&S professionals. You are quite correct in that we don’t have all the information in terms of note issued, but then again we don’t have the doctors expert opinion nor the diagnosis of the IP or the constraints (if any) of the light duties. I'd agree with you that HR is the key as well as a Occ Health policy that addresses sickness absence and a protocol for rehabilitation for employees.
NickH  
#20 Posted : 02 February 2012 17:33:55(UTC)
Rank: Super forum user
NickH

I'm still struggling to see the point of the OP. In my opinion, from the information provided the ,not fit for work' note from th eGP is a red herring - this would still have been reportable anyway. The IP was offered altrernative work - from this, it could be assumed that they were not able to carry out their normal duties. Therfore, regardless of whether at work or not, it is reportable.
pete48  
#21 Posted : 02 February 2012 17:38:03(UTC)
Rank: Super forum user
pete48

Freelance, my point is based in the fact that GP's are generally not occupational medics. Therefore they will always rely more upon the information that their patient gives them in respect of the patients workplace and especially with regard to modified work. In the report I referenced it is also clear that many GP's do not want more direct involvement with employers. Thus their decision about 'may be fit for work' is often made on less than complete information. To use the example in debate. The employer clearly had some modified work that the employee could have been offered in order to allow them to stay at work. If the employee did not share that with the GP or was simply unaware, at the time of the GP consultation, that it was available then the most likely outcome would be 'not fit for work'. Not a mistake by the GP but a reasonable default position to protect the health of their patient. This will remain the case until GPs are given better support for occupational decisions and employers manage their employees effectively in this regard. p48
pete48  
#22 Posted : 02 February 2012 17:41:06(UTC)
Rank: Super forum user
pete48

nickh, this question is posed in the OP. "what happened to the fit to work note". I read this as inviting debate about what impact or lack of it the fitness for work note has had. p48
freelance safety  
#23 Posted : 02 February 2012 17:45:15(UTC)
Rank: Super forum user
freelance safety

Totally agree with you Pete48.
wjp62  
#24 Posted : 02 February 2012 17:59:07(UTC)
Rank: Forum user
wjp62

This would still be reportable as an over 3 day injury if he had been in work on lighter duties as he wouldn't have been able to carry out his full range of duties for more than 3 days.
Graham Bullough  
#25 Posted : 02 February 2012 19:02:23(UTC)
Rank: Super forum user
Graham Bullough

I concur with pete48's comments at #21. Along with other doctors GPs generally receive very little education/training regarding occupational matters even though it is believed that as many as 25% of all approaches to GPs stem from matters which relate to work, including stress, anxiety and musculo-skeletal problems. Also, it's likely that many GPs will tend to concentrate on what their patients tell them and certify them as "not fit for work". With limited time available for seeing each patient, having to make quick decisions about numerous patients during each GP surgery period and not wanting to provoke patients, especially complaints by patients, it's also understandable that GPs may tend to take the 'easy' option when completing Fit for Work notes. I guess that most of us if faced with such circumstances would probably do likewise!
Zimmy  
#26 Posted : 02 February 2012 19:50:01(UTC)
Rank: Super forum user
Zimmy

What was the injury? Who was at fault? Has the incident been investigated to find the reason for the injury Was the RA looked at? What did the method statement say? What has been put in place to make sure (AFAIRP) it will not happen again? The we can move on! Rob
ExDeeps  
#27 Posted : 02 February 2012 20:19:43(UTC)
Rank: Super forum user
ExDeeps

Terry, Could there be an underlying reason for the injured person not wanting to take up your (apparently) reasonable offer of light duties and retention of pay? Bullying, stress, home/ family issues, or even a realisation that they have not had their full entitlement to sick leave this year? Maybe it's worth asking around, you might turn up a bigger problem..... Jim
Zimmy  
#28 Posted : 02 February 2012 20:22:16(UTC)
Rank: Super forum user
Zimmy

Well said Jim
alistair.r.reid  
#29 Posted : 02 February 2012 21:09:45(UTC)
Rank: Forum user
alistair.r.reid

I have recently had a number of weeks on amended duties after a workplace accident, for the three fit notes issue on three seperate occaisions I have been asked by three different doctors, (one GP, one Consultant and one other) what do you want it to say ? In each case it was issued to all intence and purpose blank except for a tick in the amended duties box (my choice) Thats what happend to the fit note.
pete48  
#30 Posted : 02 February 2012 23:21:26(UTC)
Rank: Super forum user
pete48

Alistair, that is puzzling but it would be unwise to make any further comment without a great deal more info. So may I just advise that the DWP guidance to GP’s is quite clear and unequivocal. http://www.dwp.gov.uk/docs/fitnote-gp-guide.pdf This is an extract from that guidance. Note in particular the imperative use of 'must' in respect of the functional effects of your condition. "Where the ‘may be fit for work’ box has been ticked, you must complete this section with information on the functional effects of your patient’s condition. The information you provide here will be key for your patient and for their employer when they are considering if and how they can facilitate a return to work. In circumstances where you feel the issues are complex or where you feel work itself may be a contributor to your patient’s condition, you may wish to include in your comments a recommendation that an occupational health assessment be considered." It is, of course, not for the Doctor with clinical responsibility for the patient to be job specific. There are examples in the guidance of how to outline the functional effects in the most helpful way. The guidance for Occ Health Professionals identifies the difficulties when it says "Recognising that the majority of the forms will be completed by GPs with little or no formal training in occupational health, the form is designed for general advice which does not require detailed knowledge of the patients work or of workplace fitness standards. The patient and their employer can then use this information to discuss how a return to work will be managed." Taken from http://www.dwp.gov.uk/do...ational-health-guide.pdf It is, of course, the employers responsibility to ensure that they review the notes and, if they accept them, then to control any matters arising from those functional effects. However, the notes are not binding on an employer who may choose to seek further advice or guidance whether that is suggested by the patients Doctor or not. It seems to me then that we all need to understand the importance of this process for our personal on-going health management. For example, I would not have accepted a med3 from my Doctor without adequate and relevant detail being provided. Remember the advice is to you as the patient and not to your employer. We surely have a individual responsibility to get the best advice to help primarily ourselves but also our employer when managing our return to work. For example, there can be many circumstances where describing the functional effects may require a check with the patients knowledge of the work and identifying their feelings or perceptions about returning to work and what may be relevant. Thus asking your opinion on what to put in can just be a valid part of any assessment. p48
paul-ps  
#31 Posted : 03 February 2012 08:22:31(UTC)
Rank: Forum user
paul-ps

How injured was the IP's hand. Are they in pain & difficulties? If they only have one hand to do paper work, is it the hand they write with? How do they get to work if they are unable to drive, etc? Some employers use the light duties ploy as a way of getting a person into work under any circumstance, regardless of difficulties and discomfort to the IP, even to the extent that they will sit in a group area for days or weeks, just reading a training document. The only purpose of this is for the company to avoid having to report the injury.
Terry556  
#32 Posted : 03 February 2012 08:24:06(UTC)
Rank: Super forum user
Terry556

I was not arguing the point of reporting, I interviewed the employee, and offered him light duties, as he did not want to loose money, I told him when he went to the doctors, ask the doctor for a fit to work note to see if you can do other work, as his hand is not in plaster, its not swollen.
paul-ps  
#33 Posted : 03 February 2012 08:31:38(UTC)
Rank: Forum user
paul-ps

It comes down to what a person can practically do in a working environment with just the use of one hand. The Dr has simply made a judgement in the IP's best intrests.
Zyggy  
#34 Posted : 03 February 2012 08:38:13(UTC)
Rank: Super forum user
Zyggy

paul-ps As others have already stated, the company cannot legally avoid reporting this under RIDDOR if the IP meets the > 3 day criteria, & is unable to carry out their substantive duties. The fact that they are in work on light duties, or just sitting around doing nothing does not mean that it is not reportable - some organisations did this prior to 1995 & that's why the legislation was changed! I did once hear of employees of one multi-national being picked up by taxis, brought into work to do nothing all day, & the same organisation had a sign at their entrance proudly proclaiming x thousand hours since the last reportable accident!! Zyggy
paul-ps  
#35 Posted : 03 February 2012 08:59:06(UTC)
Rank: Forum user
paul-ps

Well I know of at least one major employer that is still doing this to avoid reporting the injury.
SafetyShinobi  
#36 Posted : 03 February 2012 09:59:07(UTC)
Rank: Forum user
SafetyShinobi

Hopefully the change from 3 day injury to 7 day injury should help with these kinds of issue?
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